27-GAUGE PARS PLANA/PLICATA VITRECTOMY FOR PEDIATRIC VITREORETINAL SURGERY.
Publication/Presentation Date
2-1-2023
Abstract
PURPOSE: To report on the feasibility of 27-gauge (G) vitrectomy for pediatric patients.
METHODS: This study is an international, multicenter, retrospective, interventional case series. Participants were patients 17 years or younger who underwent 27-G vitrectomy for various indications.
RESULTS: The records of 56 eyes from 47 patients were reviewed. Mean age was 5.7 ± 5.2 years. Diagnoses included retinopathy of prematurity (Stages 3 with vitreous hemorrhage, 4A, 4B, and 5), Terson's syndrome, traumatic macular hole, posterior capsular opacification, endophthalmitis, and others. Instruments used were the 27-G infusion, 27-G vitreous cutter, 27-G light pipe, and 27-G internal limiting membrane forceps. Instrument bending was noted in one (1.8%) case. There were no cases with intraoperative complications, infusion issues, or postoperative endophthalmitis. There were 67/145 (46%) sclerotomies that required suturing, of which most (51/145) were sutured out of precaution. There were four cases (7.1%) that required conversion to a larger gauge and three cases (5.3%) that developed postoperative hypotony. Mean visual acuity improved from logarithm of the minimum angle of resolution 1.32 (20/420) to 0.72 (20/105), after a mean follow-up of 125.1 days (P = 0.01). Anatomic success was achieved in 96.4% of eyes after a single surgery.
CONCLUSION: Twenty-seven-gauge vitrectomy was safe and feasible in selected pediatric vitreoretinopathies. Further studies are warranted to examine indications and outcomes.
Volume
43
Issue
2
First Page
238
Last Page
242
ISSN
1539-2864
Published In/Presented At
Ung, C., Yonekawa, Y., Chung, M. M., Berrocal, A. M., Kusaka, S., Oshima, Y., Chan, R. V. P., Inoue, M., Read, S. P., Kuriyan, A. E., Todorich, B., Thanos, A., Thomas, B. J., Wolfe, J. D., Hassan, T. S., & Capone, A., Jr (2023). 27-GAUGE PARS PLANA/PLICATA VITRECTOMY FOR PEDIATRIC VITREORETINAL SURGERY. Retina (Philadelphia, Pa.), 43(2), 238–242. https://doi.org/10.1097/IAE.0000000000003662
Disciplines
Medicine and Health Sciences
PubMedID
36695796
Department(s)
Department of Medicine
Document Type
Article